• Date Format: MM slash DD slash YYYY
  • Date Format: MM slash DD slash YYYY
  • This patient presented for a health examination on the date noted above. The patient has been examined and found to be free of communicable disease and/or physical deformity except where noted below. Our clinicians routinely check for hernias, heart murmurs, cleft palates, open fontanelles, and undescended testes; these and any other deformities, if found, are described below.